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The study was conducted in Mansa, a rural town in Luapula Province of Zambia.The district shares boundaries with the Democratic Republic of Congo in the west and south, Mwense District in the north-west, Samfya District in the east, Milenge District in the southeast and Luwingu District in the north-east.One of the communities chosen was largely rural and structurally traditional in organization, and the other is a far more rapidly transforming informal peri-urban shanty settlement which has mushroomed as people have moved to the town centre in search of employment or get involved in business activities.The rural communities selected were in Monga, Kaseba, and Mulonga areas while the peri-urban area was Senema.Mansa is also the provincial headquarters of Luapula Province, and is therefore a melting point for all other districts.
There are also some Sub-Chiefs, namely, Kale Nsonga, Kundamfumu, Chamawabuseba, Chansa and Kapwepwe.
Other persistent cultural practices such as wife inheritance and ritual cleansing of widows through sexual intercourse add to the vulnerability of both men and women for acquiring the disease.
By encouraging dense networks of sexual contact, these cultural practices increase the risk of infection.
Mansa is appropriate for the study since all the cultural aspects of interest are common in this area, that is, polygyny, inheritance, sexual cleansing and levirate marriage.
Since these practices are also observed in some other regions of Zambia, any changes in these practices in Mansa may be extrapolated to some extent to other areas; the area can thus be used as a yardstick to measure socio-cultural responses to HIV and AIDS.